Information Collection

State and Local Agencies

IC 2932 under ICR 201704-0584-001 · OMB 0584-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0043 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	State and Local Agencies	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 246.12(i)(1) 7 CFR 246.12(q) 7 CFR 246.12(g)(4)(i) 7 CFR 246.12(j)(4) 7 CFR 246.14(d) 7 CFR 246.12(o) 7 CFR 246.12(g)(10) 7 CFR 246.16(d) 7 CFR 246.17(c)(1) 7 CFR 246.19(a)(2) 7 CFR 246.19(b)(5) 7 CFR 246.20(a)(2) 7 CFR 246.4 7 CFR 246.5(b) 7 CFR 246.7(i) 7 CFR 246.6 7 CFR 246.7(j)(9) 7 CFR 246.7(k) 7 CFR 246.10(b)(1) 7 CFR 246.10(d)(1) 7 CFR 246.11(d)(2) 7 CFR 246.12(g)(4)(ii)(B) 7 CFR 246.12(h)(1)(i) 7 CFR 246.12(h)(8)(i) 7 CFR 246.12(i)(4) 7 CFR 246.12(j)(6) 7 CFR 246.10(d)(1) 7 CFR 246.12(l)(3) 7 CFR 246.12(j)(6)(ii) 7 CFR 246.23(c)(1) 7 CFR 246.25(a) 7 CFR 246.10(b)(2) 7 CFR 246.7(f)(2)(iii)(A)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,854	Number of Respondents for Small Entity: 385

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	42,781,423	271	-5,736,474	48,517,626
Annual IC Time Burden (Hours)	3,004,965	8,802	-216,519	3,212,682
Annual IC Cost Burden (Dollars)	0	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.